Determinants of trends in breast-feeding indicators in Nigeria, 1999-2013

Ogbo, Felix Akpojene, Page, Andrew, Agho, Kingsley E. and Claudio, Fernanda (2015) Determinants of trends in breast-feeding indicators in Nigeria, 1999-2013. Public Health Nutrition, 18 18: 3287-3299. doi:10.1017/S136898001500052X


Author Ogbo, Felix Akpojene
Page, Andrew
Agho, Kingsley E.
Claudio, Fernanda
Title Determinants of trends in breast-feeding indicators in Nigeria, 1999-2013
Journal name Public Health Nutrition   Check publisher's open access policy
ISSN 1475-2727
1368-9800
Publication date 2015-03-18
Year available 2015
Sub-type Article (original research)
DOI 10.1017/S136898001500052X
Open Access Status Not yet assessed
Volume 18
Issue 18
Start page 3287
End page 3299
Total pages 13
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Formatted abstract
Objective: The present study aimed to examine the trends and differentials in key breast-feeding indicators in Nigeria for the period 1999–2013.

Design:
Longitudinal study of trends (1999–2013) in optimal feeding practices using a series of population-based Nigerian Demographic and Health Surveys. Trends in socio-economic, health service and individual characteristics associated with key breast-feeding indicators were examined using multilevel regression analyses.

Setting: Nigeria.

Subjects: Children (n 88 152) aged under 24 months (n 8199 in 1999; n 7620 in 2003; n 33 385 in 2008; n 38 948 in 2013).

Results: Among educated mothers, there was an increase in prevalence of exclusive breast-feeding (26 % in 1999 to 30 % in 2013) and predominant breast-feeding (27 % in 1999 to 39 % in 2013) compared with mothers with no schooling. A similar increasing trend was evident for mothers from wealthier households and mothers who had a higher frequency of health service access compared with mothers from poorer households and women who reported no health service access, respectively. Mothers with no schooling predominantly breast-fed, but the odds for bottle-feeding were higher among educated mothers and women from wealthier households. The odds for early initiation of breast-feeding were lower for mothers who reported no health service contacts and mothers of lower socio-economic status.

Conclusions: Significant increasing trends in key breast-feeding indicators were evident among mothers with higher socio-economic status and mothers who had more health service access in Nigeria. Broader national and sub-national policies that underpin nursing mothers in work environments and a comprehensive community-based approach are proposed to improve feeding practices in Nigeria.
Keyword Breast-feeding
Mortality
Nigeria
Trends
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Social Science Publications
 
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